| NPI | 1154971661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ELENE SMOTHERS Owner/Managing Member 719-473-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-09-29 |